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NPI Detail
NPI: 1003878539
Type: Organization
Taxonomy Code: 261QE0700X
End-Stage Renal Disease Facility
Ambulatory Health Care Facilities/End-Stage Renal Disease (ESRD) Treatment


1500 X XXXXXXX XXXXXX XX
ANN ARBOR, MI 481095000
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
Click here for new NPI search.


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2021 OPPS Part A Medicare Services Submitted NPI-1003878539*

OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)

Top Level I HCPC Procedures
ProcedureDescriptionNumber SubmittedMedicare Payment
85025 COMPLETE CBC W/AUTO DIFF WBC XXXXX $XXXXXX.XX
97110 THERAPEUTIC EXERCISES XXXXX $XXXXXXX.XX
80053 COMPREHEN METABOLIC PANEL XXXXX $XXXXXX.XX
97140 MANUAL THERAPY 1/> REGIONS XXXXX $XXXXXX.XX

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment
J2704 Inj, propofol, 10 mg XXXXXX -
J0585 Injection,onabotulinumtoxina XXXXXX $XXXXXX.XX
J1756 Iron sucrose injection XXXXXX -
J9271 Inj pembrolizumab XXXXXX $XXXXXXX.XX
J0881 Darbepoetin alfa, non-esrd XXXXXX $XXXXXX.XX
J9263 Oxaliplatin XXXXXX -
J1569 Gammagard liquid injection XXXXXX $XXXXXXX.XX
J9299 Injection, nivolumab XXXXXX $XXXXXXX.XX
J8540 Oral dexamethasone XXXXXX -
J2795 Ropivacaine hcl injection XXXXXX -
J9267 Paclitaxel injection XXXXXX -
J0185 Inj., aprepitant, 1 mg XXXXXX $XXXXXX.XX
J9144 Daratumumab, hyaluronidase XXXXX $XXXXXXX.XX
J9264 Paclitaxel protein bound XXXXX $XXXXXX.XX
J0897 Denosumab injection XXXXX $XXXXXX.XX
J3380 Injection, vedolizumab XXXXX $XXXXXX.XX
J0878 Daptomycin injection XXXXX -
J1447 Inj tbo filgrastim 1 microg XXXXX $XXXXX.XX
J0131 Inj, acetaminophen (nos) XXXXX -
J9312 Inj., rituximab, 10 mg XXXXX $XXXXXXX.XX
J0588 Incobotulinumtoxin a XXXXX $XXXXXX.XX
J1644 Inj heparin sodium per 1000u XXXXX -
J1453 Fosaprepitant injection XXXXX $XXXXX.XX
J3262 Tocilizumab injection XXXXX $XXXXXX.XX
J9306 Injection, pertuzumab, 1 mg XXXXX $XXXXXX.XX
J0256 Alpha 1 proteinase inhibitor XXXXX $XXXXXX.XX
J1100 Dexamethasone sodium phos XXXXX -
J2350 Injection, ocrelizumab, 1 mg XXXXX $XXXXXXX.XX
J9176 Injection, elotuzumab, 1mg XXXXX $XXXXXX.XX
J9047 Injection, carfilzomib, 1 mg XXXXX $XXXXXX.XX

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0463 Hospital outpt clinic visit XXXXXX $XXXXXXXX.XX
G0378 Hospital observation per hr XXXXX -


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


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